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Caregiver Strain Index (CSI) I am going to read a list of things that other people have found to be difficult. Would you tell me whether any of these apply to you? (GIVE EXAMPLES) Yes = 1
No = 0
Sleep is disturbed (e.g., because . . . is in and out of bed or wanders around at night) It is inconvenient (e.g., because helping takes so much time or it’s a long drive over to help) It is a physical strain (e.g., because of lifting in and out of a chair; effort or concentration is required) It is confining (e.g., helping restricts free time or cannot go visiting) There have been family adjustments (e.g., because helping has disrupted routine; there has been no privacy) There have been changes in personal plans (e.g., had to turn down a job; could not go on vacation) There have been emotional adjustments (e.g., because of severe arguments) Some behavior is upsetting (e.g., because of incontinence; . . . has trouble remembering things; or . . . accuses people of taking things) It is upsetting to find . . . has changed so much from his/her former self (e.g., he/she is a different person than he/she used to be) There have been work adjustments (e.g., because of having to take time off) It is a financial strain Feeling completely overwhelmed (e.g., because of worry about . . . ; concerns about how you will manage) Total Score (Count yes responses. Any positive answer may indicate a need for intervention in that area. A score of 7 or higher indicates a high level of stress.) Robinson, B. (1983). Validation of a Caregiver Strain Index. Journal of Gerontology. 38:344-348. Copyright © The Gerontological Society of America. Reproduced by permission of the publisher. Permission is hereby granted to reproduce this material for non-for-profit educational purposes only, provided The Hartford Institute for Geriatric Nursing, Division of Nursing, New York University is cited as the source. Available on the internet at www.hartfordign.org. E-mail notification of usage to: [email protected].